| NPI | 1013252782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA D RASMUSSEN Licensed Psychologist 407-803-3758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7412) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |