| NPI | 1013155498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELA F OTT President 321-604-7024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7273) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |