| NPI | 1194023069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILLARY M PEDERSEN Manager 305-531-1591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-03 |