| NPI | 1033751037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE SANTANA SPARBER Psychologist/Clinical Director 305-409-6679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |