| NPI | 1235011784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GLOVER Licensed Clinical Psychologist 980-729-5049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2025-07-24 |
| Last Update Date | 2025-07-24 |