| NPI | 1477005361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORETTA IRBY Owner/School Psychologist 813-279-4349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL SS1293) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |