| NPI | 1285023192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE M. DASKALAKIS Owner 315-944-8043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 017258) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |