| NPI | 1407507700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ZIPPER Owner 407-773-9937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-08-17 |