| NPI | 1285026419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL WELDUM President 315-492-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 000070) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2023-05-23 |