| NPI | 1134667850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA ANN MEINKE Psychotherapist 727-644-5755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NJ 44SC05695500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL SW12472) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2022-03-31 |