| NPI | 1366509333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TSILA ABUSH KIRSH President 813-312-1005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY6935) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY6935) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |