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 |