| NPI | 1912253071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENEIDA M. SILVA Psychologist 860-604-9268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 1723) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-08-04 |