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 |