| 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 |