| NPI | 1770238560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE JOAN HANSON Owner/ Licensed Psychologist 910-352-4657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2022-02-20 |
| Last Update Date | 2022-11-03 |