| NPI | 1659763191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY ROSALIE NICHOLLS President/Clinical Director 561-370-4469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8492) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-02-20 |