| NPI | 1821734104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM ROTTIER Clinical Psychologist 347-497-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2022-05-09 |