NPI | 1447302401 |
---|---|
Entity Type | Organization |
Authorized Contact | VIRGINIA DIANE GARRETT Owner 225-302-5092 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: LA 684) |
Enumeration Date | 2007-01-18 |
Last Update Date | 2020-08-22 |