| NPI | 1053687855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENA C JEFFERSON Psychotherapist, Life Coach, 347-435-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 074578) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2014-06-04 |