| NPI | 1710387105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIZA CHYTILO MERMELSTEIN Managing Member 607-768-9640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NM 1347) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2014-09-04 |