| NPI | 1679004162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA KNIBBS Licensed Clinical Social Worker 727-403-9550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW11277) |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2017-03-25 |