| NPI | 1104405174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY WOLF Owner/Manager 917-680-5665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2021-04-06 |