| NPI | 1518137744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE CAKOV President 305-776-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY6837) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY6837) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2011-02-23 |