| NPI | 1780122721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET M HARWOOD Office Manager 407-447-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL py3876) |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |