| NPI | 1184096315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LYNN JENSEN Licensed Marriage & Family Therapis 516-445-5191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001197) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |