| NPI | 1568883130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDIDA ROSA DIAZ Psychotherapist 917-834-6211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R058985) |
| Enumeration Date | 2013-12-26 |
| Last Update Date | 2013-12-26 |