| NPI | 1891053427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY LOUISE MONAGHAN President 904-347-0751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY7659) |
| Enumeration Date | 2012-05-02 |
| Last Update Date | 2012-05-02 |