| NPI | 1982761169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILSA RIVERA President 239-434-2425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY6994) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY6994) |
| 103TC1900X Psychologist, Counseling (Licence: FL PY6994) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-05-20 |