| NPI | 1962731984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LAURA Office Manager 727-375-8870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW7105) |
| Enumeration Date | 2009-12-22 |
| Last Update Date | 2009-12-22 |