| NPI | 1679200224 |
|---|---|
| Former Legal Business Name | MINDFUL LIFE PSYCHOTHERAPY LCSW PLLC |
| Entity Type | Organization |
| Authorized Contact | YEKATERINA HORLINA CEO 914-463-0973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-08-03 |