| NPI | 1285173823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIE ARIEL LONGWILL Psychologist 302-438-7325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS017995) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |