| NPI | 1467976571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHA VARDARAJAN Licensed Clinical Psychologist 646-525-9671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2022-07-21 |