| NPI | 1962730143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOURDES E. POLA Clinical Psychologist 305-826-9293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY5253) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2009-11-25 |