| NPI | 1144501917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE LAROSA Licensed Clinical Social Worker 813-368-2947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw7674) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |