| NPI | 1669889606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINITA MEHTA Psychologist 646-374-4280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000994) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |