| NPI | 1295276103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA ZUCCOLO Psychologist/Owner 813-357-9612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: FL PY9735) |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2020-10-30 |