| NPI | 1831577501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARKISHA BENNETT Licensed Clinical Psychologist 954-681-0669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000740) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |