| NPI | 1740558774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA M. MONTES DE OCA Owner 305-302-1793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY 7546) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: FL PY 7546) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |