| NPI | 1508514985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULISSA VASQUEZ Psychotherapist, Practice Owner 917-306-0331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-03-14 |