| NPI | 1407087653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSARIO S CRANE Clinical Psychologist 813-875-0122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY3335) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2010-05-28 |