| NPI | 1083192579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY FREIMAN Owner 203-470-7760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005064) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |