| NPI | 1770877318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MARIE HANSEN President/Licensed Psychologist 239-274-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY7935) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-05-31 |