| NPI | 1255941209 |
|---|---|
| Other Name | COURTNEY CAVALL |
| Entity Type | Organization |
| Authorized Contact | COURTNEY CAVALL Mbr 954-649-6592 |
| Organization Subpart ? | |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2021-01-14 |