| NPI | 1578062741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLINE FRANCOISE ACRA Sole Proprietor 334-417-0385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AL 2062) |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-02 |