| NPI | 1619412616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY KATO Psychologist 203-802-6184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CT 2759) |
| Additional Taxonomies | 251S00000X (Licence: CT 2759) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |