| NPI | 1902001274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIDE PORCU Psychotherapist 212-929-7724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY NCPsyA 000210) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY NCPsyA 000210) |
| 101YM0800X Counselor, Mental Health (Licence: NY NCPsyA 000210) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |