| NPI | 1134249816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RENEE HINTZ Owner 954-925-3191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7496) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2014-06-09 |