NPI | 1124490362 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYNN ROGERS BURNS Marriage And Family Therapy 315-400-2483 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 06001266) |
Enumeration Date | 2015-10-27 |
Last Update Date | 2021-07-19 |