| NPI | 1356454045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ALEXANDRA LIPKIN Owner And Executive Director 267-861-3685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS015446) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: PA PS015446) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2020-06-04 |