| NPI | 1518663400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER NARDOZZI Mgr 786-512-1907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-02-02 |