| NPI | 1295975969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANDREA BUTLER Clinical Psycholgist 407-733-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7574) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-04-16 |