| NPI | 1255936852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY MICHELE ANMUTH Clinical Psychologist/Co Owner 267-281-7407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |