| NPI | 1013199082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE MULACH Office Manager 772-225-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL 650238748) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2011-01-05 |