| NPI | 1215152962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY L NICHOLSON Partner 518-785-7283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 012019) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2016-05-31 |