| NPI | 1497290407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA L. HENDERSON Owner/Lead Psychologist 850-656-1192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7246) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |