| NPI | 1093574592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE CHRISTY TAVERAS Owner/Clinical Psychologist 347-251-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2025-03-20 |