| NPI | 1124379417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHALIE DE FABRIQUE Clinical Psychologist 954-325-3454 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7421) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |