| NPI | 1992323778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA HENANDEZ POUDEVIDA Owner/Clinical Psychologist 813-400-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2022-04-28 |