| NPI | 1174294359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE MILO President / Licensed Psychologist 813-340-4694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TH0100X Psychologist, Health Service | |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-09-27 |