| NPI | 1861639361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEKESHIA HAMMOND President/Clinical Psychologist 813-654-0503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY 7859) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: FL PY 7859) |
| 103TF0000X Psychologist Family (Licence: FL PY 7859) | |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2015-08-27 |