| 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 |