| NPI | 1225463938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINE ELLIOTT Sole Proprietor 813-928-3871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9782) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |