| NPI | 1902278815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMITHRA RAGHAVAN Clinical Psychologist 347-915-4168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 020970) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |