| NPI | 1295425890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEENA MEHTA Licensed Psychologist 917-200-1461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TS0200X Psychologist, School | |
| 103T00000X Psychologist | |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-05-09 |