| NPI | 1710283957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE SPINA TAYLOR President 786-236-7795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 7765) |
| Enumeration Date | 2011-02-06 |
| Last Update Date | 2011-06-13 |