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 |