| NPI | 1528758547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE FEYIJINMI Licensed Clinical Psychologist 347-210-1834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-05-11 |