| NPI | 1295945129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLIN SUE POTASH President 212-410-4138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 3236) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA 2263) |
| 103TH0100X Psychologist, Health Service (Licence: MA 2263) | |
| 106H00000X Marriage & Family Therapist (Licence: NY 529) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |