| NPI | 1497180327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI-ANN PALAZZO Owner 718-892-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005091) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 005091) |
| 1041C0700X Social Worker, Clinical (Licence: NY 005091) | |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2013-09-11 |