| NPI | 1891131637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAMILA SANTOS Psychologist 407-900-4885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2022-02-25 |