| NPI | 1871038935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTI WASHINGTON CABRERA Sole Proprietor 850-443-7948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9460) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: GA PSY003430) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |