NPI | 1376075440 |
---|---|
Entity Type | Organization |
Authorized Contact | JYOTHSNA BHAT Psyd, Owner 267-991-0108 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2017-03-29 |
Last Update Date | 2017-03-31 |