| NPI | 1720609472 |
|---|---|
| Doing Business As | INSTITUTE OF COGNITIVE AND EMOTIONAL WELLNESS |
| Entity Type | Organization |
| Authorized Contact | KRISTINE THEODORA KINGSLEY Owner 917-716-6995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-05-05 |