| NPI | 1326553389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALESSANDRA MAROTTI Psychologist 813-853-0721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PY7772) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |