| NPI | 1679071468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY C OLSEN Sole Proprietor/Psychotherapist 917-750-9341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 085084) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |