| NPI | 1447609649 |
|---|---|
| Doing Business As | MOLLY LARSON, PH.D. |
| Entity Type | Organization |
| Authorized Contact | MOLLY LARSON Clinical Psychologist 321-327-3793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9437) |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |