| NPI | 1437632163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALENTINA STOYCHEVA Owner/Director 516-244-9174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |