| NPI | 1083036370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA GRUNDLEGER Clinical Psychotherapist 347-815-3780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 73080983) |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-06 |