| NPI | 1821680836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILANA DEBRA ROSENBERG Psychologist/Owner 917-620-8749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-10 |