| NPI | 1285215335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KIMBERLY O'CONNOR Clinical Social Worker/Owner 917-453-2328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-20 |