| NPI | 1902102403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL L. GROSS Psychotherapist 954-592-0329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW4487) |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2017-03-29 |