| NPI | 1447852744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RACHEL LEVIN President 917-312-5697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2020-12-14 |