| 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 |