| NPI | 1982073623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MAHONEY President 813-774-8852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9329) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |