| NPI | 1235488818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA D. AGUILU Clinical Psychologist 727-509-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY8538) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2023-05-23 |