| NPI | 1811322811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKIHO TANAKA Psychologist 407-335-8211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8836) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2021-11-30 |