| NPI | 1104370139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SANCLEMENTS Psychotherapist 917-975-9195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 080072) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |