| NPI | 1306503644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLA MARIE VASQUEZ Owner/Licensed Clinical Psychologis 813-436-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2024-04-12 |