| NPI | 1467982389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM KNIGHT Psychologist 954-560-6326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY0005828) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY0005828) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |