| NPI | 1790233831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIESE M. ZITZKAT Owner/Clinical Psychologist 203-624-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003112) |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |