| NPI | 1467964734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANA P GAIA S Corp Owner/Psychotherapist 917-622-3749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00598200) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 007828-1) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |