| NPI | 1245027457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULIANIS FUNDORA Owner 786-252-5774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-04-22 |