| NPI | 1023782703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN WATSON Owner 917-860-7625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2021-08-05 |