| NPI | 1730562877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY HOUCK-LOOMIS Psychotherapist 917-232-7232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral (Licence: NC 105) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |