| NPI | 1457594954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN C OLBY Owner/Director 941-204-0059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY6434) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2020-03-04 |