| NPI | 1659755213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LOUISE GABRIEL Lmhc 917-604-5592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 000482-1) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2015-07-14 |