| NPI | 1619690070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA MILLER President 718-635-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |