| NPI | 1114324407 |
|---|---|
| Former Name | CAROLINE PIERPONT KOTONIAS-PAYNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 018865) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 018865) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 018865) | |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |