| NPI | 1083928972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARRIE D DAMM Therapist 315-299-6975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000246) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |