| NPI | 1124665617 |
|---|---|
| Former Legal Business Name | ALEXANDRA GLEASON, LMFT, PLLC |
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA GLEASON Owner 516-993-6678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |