| NPI | 1700942091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANNE HARRISON Owner 239-732-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL py3967) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2017-03-29 |