NPI | 1225870983 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHRYN BRANDENBORG-CONTI Licensed Clinical Psychologist 872-216-9066 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2024-06-12 |
Last Update Date | 2024-06-12 |