| NPI | 1013653369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE SNYDER Licensed Professional Counselor 631-521-6945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-05-10 |