| NPI | 1598517823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONIE ULYSSE Therapist 516-491-0485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2024-04-02 |