| NPI | 1619289287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERROLYN C SMITH Owner 813-657-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY 6991) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-12 |