| NPI | 1265919039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY ELISE TRAUTHWEIN Clinical Psychologist/Founder 941-447-5870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.009518) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |