| NPI | 1609544220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MOSES Owner 347-645-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-08-30 |