| NPI | 1801152616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL J BOTTA Licensed Psychologist 954-494-6813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY7746) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2012-04-05 |