| 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 |