| NPI | 1841664190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISA SOPHIA MOHAMMED Licensed Psychologist 813-401-7624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MN LP5667) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |