| NPI | 1316487978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE SHEPARD Director 212-545-9901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 018801-1) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |