| NPI | 1740332568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI E. WEINER President 813-914-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY6798 AND PY5055) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-06-18 |