| NPI | 1982911780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE ZAYCO Licensed Psychologist 904-351-8136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 8136) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2022-01-05 |