| NPI | 1932476934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES HERRERA Clinical Director 305-275-0045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH124) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: FL SS251) |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2011-11-19 |