| NPI | 1356869556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARI NICOLE WARNER CEO 754-999-0716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3045) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2020-12-04 |