| NPI | 1902528599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA M MOLES Owner 305-557-6755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2024-08-15 |