NPI | 1972990059 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTINA SCHUMANN Member 860-479-2563 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 003434) |
Enumeration Date | 2015-04-16 |
Last Update Date | 2015-04-16 |