| NPI | 1740483189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA MENDOZA President 305-262-0806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY6601) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2015-12-03 |