| NPI | 1215111661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNAH GILLE JACOBI President 646-290-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 015752) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2026-08-25 |