| NPI | 1326582453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTY AARON COOPER Owner 347-244-7873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 021944) |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2016-12-08 |