| NPI | 1851994313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSE DIBENEDETTO Owner/Clinical Psychologist 917-716-6117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-18 |