| NPI | 1639507478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN LILLYANA BERRIOS Licensed Clinical Psychologist 813-857-4467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8810) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2013-10-14 |