| NPI | 1013405224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHALIE LE REGENT HAUSMAN Clinical Psychotherapist 646-258-0237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CT 009758) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |