| NPI | 1053562744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN CORBETT Psychotherapist 941-926-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL swl141) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2008-10-10 |