| NPI | 1073921185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL SANTANA MCCLEARY Clinical Psychologist 786-663-7128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810004890) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |