| NPI | 1205009008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY E. DANSER Managing Member (Single Member LLC) 954-566-2166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7691) |
| Enumeration Date | 2008-04-12 |
| Last Update Date | 2011-06-25 |