| NPI | 1811471030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAYNE RASKIN President/Co Owner 914-319-1024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |