| NPI | 1215320866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN E FUNKE Licensed School Psychologist 352-332-2629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: FL SS324) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |