| NPI | 1831432806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONI KIM MONROE President 424-201-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2016-08-23 |