| NPI | 1720267552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELSA MARIA MARBAN Owner/ Psychologist 305-631-0778 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6114) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MH4305) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL PY6114) | |
| 103TR0400X Psychologist, Rehabilitation (Licence: FL PY6114) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: FL PY6114) | |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2008-01-24 |