| NPI | 1851718431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BOWMAN Psychotherapist 917-957-7811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 077313-1) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-03-21 |