| NPI | 1144859794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JESSICA SMYTH Founder/Clinical Psychologist 631-528-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-08 |