| NPI | 1154578128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN L ROMERO Sole Owner 941-421-4084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7763) |
| Enumeration Date | 2008-08-21 |
| Last Update Date | 2010-09-01 |