NPI | 1063928372 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANA MOROZOV Director 347-770-7631 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 020920-1) |
Enumeration Date | 2017-12-21 |
Last Update Date | 2017-12-21 |