| NPI | 1710204292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN R. BAEZ-ROJAS Owner 352-787-7144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY4794) |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-05-10 |