| NPI | 1093002016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE CARROLL WOODARD Clinical Psychologist 305-528-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7196) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2011-07-06 |