| NPI | 1326295668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY ANNE HAMPTON Owner 813-504-4830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 2292) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2014-01-27 |