| NPI | 1265897771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL T LAFLAME Licensed Psychologist 941-321-0256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY6039) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |