| NPI | 1891293734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADIA VULFOVICH Psychotherapist 718-737-1498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 100394) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2020-11-24 |