| NPI | 1700373636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY JANE WALKO Owner 845-430-3158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 006144) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2019-12-30 |