| NPI | 1033438015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE BOTHOS Clinical Psychologist 203-838-8344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002950) |
| Enumeration Date | 2010-05-29 |
| Last Update Date | 2019-07-08 |