| NPI | 1992179634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEORA JOSEPHA GARDNER-SCHAUDER Owner 561-414-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY5116) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: FL PY5116) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |