| NPI | 1942646070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA DANIELLE PENA ROSA Licensed Psychologist 321-246-7490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY 8755) |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-05-15 |