| NPI | 1184174344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRA L ROGERS Clinical Psychologist 917-714-3177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 021775) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2017-02-23 |