| NPI | 1750823258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA LAURA GONZALEZ Clinical Psychologist 203-514-0657 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2024-08-20 |