| NPI | 1952108409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULISSA MARTINEZ Owner 347-251-2834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-09-05 |