| NPI | 1447749171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIOBHAN A MASTERSON Sole Proprietor 845-608-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 071902) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |