| NPI | 1992191308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEANNE SHAPIRO Licensed Psychologist 786-606-0302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY8564) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |