| NPI | 1417302407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA MIZRAHI Psychologist 201-238-6457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO 0004367) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |