| NPI | 1851715759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE IDONNA BUTLER Owner 813-689-0139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW6523) |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-03-25 |