| NPI | 1023750312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE RAWDA Private Practice Psychotherapist 929-279-2528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2025-03-04 |