NPI | 1578073524 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMARA L STEWART Owner/Therapist 813-454-5917 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: FL SW13601) |
Enumeration Date | 2017-10-04 |
Last Update Date | 2017-10-04 |