| NPI | 1760336929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA HAGE Managing Member 239-452-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2026-02-24 |
| Last Update Date | 2026-02-24 |