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 |