| NPI | 1699135566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE D CONELLI Founder/Director 631-478-3292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 073603) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000230) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |