| NPI | 1497178818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEDA G STURM Owner 352-397-2744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2744) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |