| NPI | 1619326378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN A WATERS Sole Member 813-924-3957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW12097) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2018-08-24 |