| NPI | 1124364104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAM DUM Clinical Psychologist 786-553-4546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 8498) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-20 |