| NPI | 1659658698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYA SOYA Licensed Psychologist 321-328-7692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8406) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2021-08-03 |