| NPI | 1689964702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | T. ANN GIBBONS President 941-922-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY5092) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |