NPI | 1184263980 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHERINE O'SULLIVAN Owner 551-250-1017 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
101YM0800X Counselor, Mental Health | |
103G00000X Clinical Neuropsychologist | |
Enumeration Date | 2019-12-27 |
Last Update Date | 2019-12-27 |