| NPI | 1972774404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADYS B GRANDA-RODRIGUEZ President 305-573-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY6236) |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2010-11-29 |