| NPI | 1013066562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY C. GAUL Psychotherapist 732-278-6651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC01309600) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |