| NPI | 1225133184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY J. FUTCH President 727-541-5436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY0003613) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |