| NPI | 1760848089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNA LOLITA UZUN Owner 352-843-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2023-11-27 |