| NPI | 1154096865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA DUESLER Licensed Mental Health Counselor 518-774-7896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2021-08-13 |