| NPI | 1003228032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH MORRISON THEVENIN Managing Member 305-495-7603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY4442) |
| Enumeration Date | 2014-05-26 |
| Last Update Date | 2014-05-26 |