| NPI | 1154535748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA PECK Sole Propietor 516-889-2688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R0232811) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |