| NPI | 1790570919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA KALILIKANE President 727-416-1642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-06-23 |