| NPI | 1134598162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY JASLOW Licensed Psychologist 954-616-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9326) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |