| NPI | 1619345519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANN ELIZABETH GRIMM Propritor 727-504-4126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT2514) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |