| NPI | 1730320979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE JESSEN Psychotherapist 631-265-3133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY R046903-1) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-03-18 |