| NPI | 1386086726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER H MENDOZA Owner/Psychologist 941-721-6325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: FL PY5572) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-08-15 |