| NPI | 1891223905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL DEBORAH SIMON-BOYD Licensed Psychologist/Owner 321-408-1870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: FL PY9663) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2017-06-02 |