NPI | 1912010299 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLINE EDWARDS President 772-219-9566 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT 1694) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2011-08-19 |