| NPI | 1639563174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA CROUCH Psychologist 917-673-4621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 015987) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |