| NPI | 1215430491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA ELKIND Provider/Owner 347-834-3298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY9958) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |