| NPI | 1114347168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABEL ALFONSO Licensed Clinical Psychologist 850-577-3204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6302) |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |