| NPI | 1801348776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA GASPERONI Owner Provider 646-898-9460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 078196) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |