| NPI | 1013590470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA YVONNE ROBINSON President 813-732-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC1900X Psychologist, Counseling | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |