| NPI | 1467828335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA D GINGERICH Psychotherapist 941-376-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12872) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |