| NPI | 1174289789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA JACQUELYN DICKSON Owner/Clinical Director/Therapist 518-569-6008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2021-11-09 |