| NPI | 1447693817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAENA ROSHANA BAPTISTE-BOLES Psychologist/Owner 321-230-0029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL PY8557) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |