| NPI | 1427664176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE GRAHAM President 954-365-5366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TF0200X Psychologist, Forensic | |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2024-12-02 |