| NPI | 1376087635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA DICARA Owner 888-333-1345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2019-04-09 |