| NPI | 1457973539 |
|---|---|
| Doing Business As | HER PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | KALISHA SMITH Owner/ CEO 929-429-4733 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2021-01-19 |