| NPI | 1326657305 |
|---|---|
| Former Legal Business Name | MYETHERAPIST LLC |
| Entity Type | Organization |
| Authorized Contact | DAWN FELDPAUSCH Licensed Clinical Social Worker 813-358-6744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2021-06-29 |