| NPI | 1871915199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA DOHERTY Sole Member 914-874-7225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 019805) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2014-01-07 |