| NPI | 1205003902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L BUTLER-TIMKO Managing Director 305-450-1047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7381) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |