| NPI | 1720580368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVI WEI-CHUN HUA Owner 347-746-9218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2019-06-11 |