| NPI | 1619423076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LUNDIN-FISH Owner 718-916-7759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: FL MT3211) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |