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 |