| NPI | 1104188762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN RUSSO Owner, Psychologist 302-738-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DE B1-0000259) |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2015-04-01 |