| NPI | 1013349786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA BOFILL Licensed Psychologist 786-587-2617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7089) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |