| NPI | 1528348307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA CONCEPCION-CIPRIANO President 813-728-0016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7798) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10358) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-09-15 |