| NPI | 1114315173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALYNN KUANGPARICHAT Psychologist 302-530-1419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: PA PS017132) |
| Enumeration Date | 2014-12-29 |
| Last Update Date | 2014-12-29 |