| NPI | 1174829006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAPHAEL WALD Licensed Psychologist 561-245-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8167) |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2011-02-16 |