| NPI | 1174718506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE VARELAS NINESLING President 904-296-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY7197) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2008-07-15 |