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 |