| NPI | 1447309083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE MICHAELSON FISHER Psychologist 302-734-3639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE 126) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-08-12 |