| NPI | 1982147310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVIL SHARMA Managing Member 917-482-6782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-12-03 |
| Last Update Date | 2016-12-03 |