| NPI | 1790520757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA MICHELE LAPP Licensed Clinical Social Worker 929-445-8532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-07-01 |