| NPI | 1306412077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DISOMMA Marriage And Family Therapist 631-365-9350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2023-07-27 |