| NPI | 1902112717 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LISA CICETTI President 561-734-6118  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: FL PY7715)  | 
| Enumeration Date | 2010-08-31 | 
| Last Update Date | 2010-08-31 |