NPI | 1477727295 |
---|---|
Entity Type | Organization |
Authorized Contact | CONSTANCE A STEGALL President 239-549-8342 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT1991) |
Enumeration Date | 2008-04-14 |
Last Update Date | 2008-04-14 |