| NPI | 1376931519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CICETTI Owner 561-734-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY7715) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY7715) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |