| NPI | 1366012551 |
|---|---|
| Former Legal Business Name | ANDREA CORNELL MARRIAGE AND FAMILY THERAPY |
| Entity Type | Organization |
| Authorized Contact | ANDREA CORNELL Owner 917-225-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2023-06-08 |