| NPI | 1992285936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANNE RICHARDSON President 727-688-5756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY10020) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2019-06-06 |