| NPI | 1235664491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATYANA SHAHOVA President 917-544-5473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 084662) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |