| NPI | 1467974741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA S OLIVOS President 305-792-8168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9816) |
| Enumeration Date | 2017-07-09 |
| Last Update Date | 2024-03-28 |