| NPI | 1154613396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JEAN FERRELL HANINGTON Owner 407-347-4188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY5044) |
| Enumeration Date | 2011-05-05 |
| Last Update Date | 2011-05-05 |