| NPI | 1447445713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA L CORREA-PEVERLY President 212-865-5899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 011942-1) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-12-12 |