| NPI | 1376984773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ELIZABETH WEBER Sole Member 917-224-7114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R059804) |
| Enumeration Date | 2013-07-13 |
| Last Update Date | 2013-07-13 |