| NPI | 1134655384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATELIN WEISSER Co Owner 732-688-7130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NJ 44SC05665400) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37PC00529600) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2017-05-10 |