| NPI | 1326136623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MAHROU SANDROW President 305-448-8325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL py6801) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL py6801) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2010-02-19 |