| NPI | 1942048509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMAR KORNITZER Practice Owner 203-510-7537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 104100000X Social Worker | |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2025-02-26 |