| NPI | 1225321409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL W. MOCK Owner 407-523-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TS0200X Psychologist, School | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-05-23 |