| NPI | 1417307984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE SALINAS Owner 321-373-1303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY8636) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY8636) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |