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 |