| NPI | 1013305499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ACKRISH Licensed Psychologist 561-299-0483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9129) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2021-04-21 |