| NPI | 1346364551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA MATILE HENDRY President 727-322-6123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6690) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2009-05-18 |