| NPI | 1063051704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE TSE Licensed Mental Health Counselor 646-868-8480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-12-28 |
| Last Update Date | 2019-12-28 |