| NPI | 1225303969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARISA PALMER President 954-925-3191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY7753) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: FL PY7753) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2012-03-13 |