| NPI | 1275712911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MULHOLLAND Co Owner/Psychologist 239-561-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2023-04-05 |