| NPI | 1003224866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LEE CAPEL Psychotherapist 607-727-7049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007897) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |