NPI | 1871044388 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE BOTHOS Licensed Clinical Psychologist 203-445-3736 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002950) |
Enumeration Date | 2016-10-19 |
Last Update Date | 2016-10-19 |