| NPI | 1023750312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE RAWDA Private Practice Psychotherapist 315-530-3654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |