| NPI | 1326588914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE OLSON NEJAME Clinical Psychologist 407-488-4892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: FL PY8805) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-05-30 |