| NPI | 1467210856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULIA FITENKO Owner 646-884-4479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0814X Psychologist, Psychoanalysis |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |