| NPI | 1992469274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE FEYIJINMI Licensed Clinical Psychologist 929-423-7316 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2021-10-23 |
| Last Update Date | 2021-10-23 |