| NPI | 1225408040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADONNA DAHL Clinical Psychologist 786-512-9983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY8020) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |