| NPI | 1376877183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARGENE K DANIELIOES Clinical Psychologist 386-677-3995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY3869) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |