| NPI | 1457124943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAGMAR E NUNEZ Owner 954-404-3889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |