| NPI | 1740587153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIE DOHENY Psychotherapist 347-255-2087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 002281) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 081087) |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2011-02-21 |