| NPI | 1740552322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BICKNELL Executive Director 786-414-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8145) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2021-05-06 |