| NPI | 1265646616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTINA NODAR MILLER Psychologist 786-897-7593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY5992) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |