| NPI | 1598974727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYANNE FERENZ GILLIES Licensed Psychologist 302-593-6685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0000504) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |