| NPI | 1912455411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTINE LUNTZ Clinical Psychologist 954-243-9970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 4972) |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |