| NPI | 1598341307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA ELISA AYALA LACONICH Clinical Neuropsychologist 561-577-3402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2022-03-22 |