NPI | 1639423437 |
---|---|
Entity Type | Organization |
Authorized Contact | SUZANNE M ALLIE President 813-425-2569 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY7160) |
Enumeration Date | 2012-10-31 |
Last Update Date | 2014-10-22 |