| NPI | 1265471601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY AMANDA GAZABON Psychologist 305-527-8094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 7129) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-08-22 |