| NPI | 1558720417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA LYNN WILLIAMS Owner 772-234-5800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7808) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |