| NPI | 1912599564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN E SIMONS Owner 607-414-2609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2023-04-07 |