| NPI | 1992251318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYNN ROGERS BURNS President 315-400-2483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: NY 001266) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2021-01-05 |