| NPI | 1982945390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MICHELLE SMALL Psychotherapist 305-607-4643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW9928) |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2018-09-28 |