NPI | 1811008683 |
---|---|
Entity Type | Organization |
Authorized Contact | TANIA DIAZ Clinical Psychologist/President 305-779-8565 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY6296) |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: FL PY 7316) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2014-07-29 |