| NPI | 1982385670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA NICOLE WOOTEN Owner/Therapist 813-444-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-07-26 |