| NPI | 1467992453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY PALMER Partner 475-221-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 002416) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2017-02-24 |
| Last Update Date | 2017-02-24 |