| NPI | 1396523254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINA HENAO IRURITA Licensed Psychologist 321-287-0325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-12-13 |