| NPI | 1083860019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARVONAE SHAW President/Psychologist 954-205-4369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL 7580) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2010-01-20 |