| NPI | 1629489331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA BRAWLEY Office Manager 813-224-0249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY2791) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |