| NPI | 1083140222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA CAPELLA Licensed Psychologist 305-936-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL IMH14476) |
| Enumeration Date | 2017-05-09 |
| Last Update Date | 2017-05-09 |