| NPI | 1265709521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA RIVERA Presidenet 305-495-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY8359) |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2019-11-19 |