NPI | 1487778247 |
---|---|
Doing Business As | SELF REALIZATION |
Entity Type | Organization |
Authorized Contact | EARL EUGENE WALKER Owner, President 302-312-8221 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: DE B1-0000757) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2020-08-22 |