| NPI | 1720522139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDIANA GOULD BUTTENWIESER Owner 646-580-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021507) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2018-09-24 |