| NPI | 1619213832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONKA C. DE RIDDER CEO 813-609-6946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL IMT-1814) |
| Enumeration Date | 2012-12-15 |
| Last Update Date | 2017-03-09 |