| NPI | 1548986599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA GOMERA Licensed Mental Health Counselor 929-400-3868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2022-10-12 |