| NPI | 1508005869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTA ELENA MANRIQUE-REICHARD Owner/Clinical Psychologist 305-669-0019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY5809) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-04-23 |