| NPI | 1336638931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL CHRISTINA MONTFORT Clinical Psychologist 813-563-6526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9414) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |