| NPI | 1922596543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH DE SANTIS-MONIACI Sole Member/Psychologist 917-921-0704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |