| NPI | 1265221030 |
|---|---|
| Doing Business As | INDIVIDUALIZED THERAPY |
| Entity Type | Organization |
| Authorized Contact | NAGLA HADY RADWAN CEO 347-603-0291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |