NPI | 1043792526 |
---|---|
Doing Business As | MARI GRANDE, LCSW |
Entity Type | Organization |
Authorized Contact | HARRIET MARI GRANDE Psychotherapist 212-871-6856 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R73076740) |
Additional Taxonomies | 221700000X Art Therapist (Licence: NY 05000197) |
Enumeration Date | 2018-08-31 |
Last Update Date | 2020-09-02 |