| NPI | 1174637268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIOLET D POETTER President 352-351-5522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY3308) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY2970) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2010-11-18 |