| NPI | 1316482961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA BONOMO Psychologist/Owner 516-798-4070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 011068) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 007280) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 021509) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 016588) | |
| 104100000X Social Worker (Licence: NY 090586) | |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-09 |