| NPI | 1902479272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY MARIE LOVE-COSTELLO Licensed Psychologist / President 954-551-8460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2021-07-23 |