| NPI | 1457084469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LAUREN WOOD Licensed Mental Health Counselor 646-258-7970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2022-07-07 |