| NPI | 1609581008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CICETTI Managing Member 561-783-9980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2023-01-19 |
| Last Update Date | 2023-01-19 |