| NPI | 1376846584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMIR MARRERO President 407-601-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7638) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH10506) |
| 174400000X Specialist (Licence: FL ME110882) | |
| 103TC1900X Psychologist, Counseling (Licence: FL PY8298) | |
| 103TC0700X Psychologist, Clinical (Licence: FL PY7723) | |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2012-02-03 |