| NPI | 1710879812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA FRENCH Marriage And Family Therapist 631-741-7184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-07-15 |