| NPI | 1023553609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLIE ELIASOF Psychotherapist 646-685-4285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 1508103813) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |