| NPI | 1104284967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS RESNICK Psychologist 305-771-1522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8829) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |