| NPI | 1922325174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONA W. ROSS Clinical Psychologist 941-954-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY2558) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2010-04-28 |