NPI | 1356740864 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERIECE SADBERRY CEO/Psychologist 813-538-0149 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC1900X Psychologist Counseling |
Additional Taxonomies | 103TE1100X Psychologist Exercise & Sports |
Enumeration Date | 2014-08-20 |
Last Update Date | 2024-08-02 |