| NPI | 1952718439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LYNN HOFFMAN Licensed Psychologist 407-622-0825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7761) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-23 |