| NPI | 1710429030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLA ILANI Psychologist 646-873-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 015913) |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2016-11-17 |