| NPI | 1356535710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA ANN LONC Psychotherapist 954-540-6335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 7126) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2013-02-05 |