| NPI | 1821425984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA GAMBINO Psychotherapist 917-727-0133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 005677) |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2013-10-03 |