| NPI | 1851698328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILHELMINA S. KOEDAM President/Licensed Psychologist 954-895-4248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY0003507) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2024-03-18 |