| NPI | 1992402093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER TISMAN Psychotherapist/Business Owner 917-687-1968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2023-03-24 |