| NPI | 1649601634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PORSCHE L MARTIN Psychotherapy And Consulting 646-398-7002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 0805481) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |