| NPI | 1952747206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKEL A. ROGERS-WOOD President/Owner 813-489-9738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY8748) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2021-02-12 |