| NPI | 1114288487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BASS GOLDMAN Licensed Psychologist 941-255-5489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY8470) |
| Enumeration Date | 2012-06-04 |
| Last Update Date | 2012-06-04 |