| NPI | 1063680643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH CHRISTIANSEN Psychologist 305-672-1104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY5813) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |