NPI | 1144760588 |
---|---|
Entity Type | Organization |
Authorized Contact | STACY LAUREN NOVAK Owner/Psychotherapist 732-491-9820 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05376200) |
Enumeration Date | 2017-03-05 |
Last Update Date | 2017-03-05 |