| NPI | 1073123006 |
|---|---|
| Former Legal Business Name | THE THERAPY LOFT LCSW, PLLC |
| Entity Type | Organization |
| Authorized Contact | RACHEL GALLER Owner 917-375-4956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-12-04 |