| NPI | 1912231374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE S KITEI President 860-810-5817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 3313) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: CO 3313) |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |