| NPI | 1043621592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET LYNNE CLAUSEN Owner 239-403-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY4466) |
| Enumeration Date | 2014-05-17 |
| Last Update Date | 2014-05-17 |