| NPI | 1760739569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA T. INATSUKA President 813-985-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY0005714) |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |