| NPI | 1609241702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE EDITH BRILL Psychotherapist 516-382-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 034481) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2015-12-01 |