| NPI | 1740767474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA UNROD Psychologist 917-297-2895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: FL PY9537) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2025-11-11 |