| NPI | 1144877424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA DENBOER Owner, Licensed Psychologist 239-533-9860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2023-11-12 |