| NPI | 1760710313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN LATHROP Psychologist 860-920-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002695) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 002695) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |