| NPI | 1285153999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON PENNOCK DANZIG President 603-969-2014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 29453) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |