| NPI | 1932873502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASMIN NICOLE JONES Psychologist 315-928-2527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2022-06-02 |