| NPI | 1912438375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLLE ANNE DELEO Owner/President 954-260-8790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY: 8799) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH:10032) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |