| NPI | 1184111981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN MICHELLE LAVADO Psychologist 305-510-1025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY9725) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |