| NPI | 1497060149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORA M DEL CUETO Owner And General Manager 786-290-3812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY5934) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH0004242) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH0005546) | |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-09-05 |