| NPI | 1184855322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI DAWN BLACKMAN Psychotherapist 561-602-4114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 7330) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2020-10-27 |