| NPI | 1467552752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEORA JOSEPHA GARDNER President 561-414-1640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY0005116) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-09-09 |