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 |