| NPI | 1346772829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN LEE Psychologist 352-331-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY8089) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |