| NPI | 1407281801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE CARDENAS Clinical Psychologist 786-393-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY 8471) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-23 |