| NPI | 1871974451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL C THOMAS Sole Member 813-982-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9264) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |