| NPI | 1063874774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE DIAMOND Supervising Psychologist 212-560-2437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ NJ44SC05613800) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |