| NPI | 1316472293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSE DIBENEDETTO Clinical Psychologist/Owner 917-716-6117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 016791) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |