| NPI | 1992056675 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MAYSA AKBAR Owner 203-387-9400 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 002659) | 
| Enumeration Date | 2012-09-21 | 
| Last Update Date | 2012-09-21 |