| NPI | 1891925228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MANN-ROSAN Psychologist 518-926-0037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 016353) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NY 016353) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-07-20 |