| NPI | 1932353695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA IANNELLI CORREA President 813-261-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7601) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2009-02-12 |