| NPI | 1700341021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SMITH KIDKARNDEE Clinical Psychologist/Member 917-445-6423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2021-06-24 |