| NPI | 1952011264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALETHIA DUPONT CEO/Director/Owner 772-324-9615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2023-01-31 |