| NPI | 1003257577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDA DORSAINVILLE President 407-494-3787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY8484) |
| Additional Taxonomies | 103TF0200X Psychologist Forensic (Licence: FL PY8484) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |