| NPI | 1578855193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANNE AMAYA Owner 813-838-4807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW8116) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2012-09-28 |