| NPI | 1073940706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MULLANE Owner 917-974-1519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 221700000X Art Therapist | |
| 225600000X Dance Therapist | |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2023-03-15 |