| NPI | 1023434370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFRAIN ANTONIO GONZALEZ Owner 305-218-5540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY3731) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-06-09 |