| NPI | 1730682907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SECQUAY GORDON Owner 754-444-6032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3022) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |