| NPI | 1346087723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESENIA VALDES Owner 305-766-4064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist Health Service |
| Additional Taxonomies | 103TM1800X Psychologist Mental Retardation & Developmental Disabilities |
| 103TP0016X Psychologist Prescribing (Medical) | |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-11 |