| NPI | 1821396003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ALISON LEVIN Owner 561-417-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY0005517) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2011-07-08 |