| 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 |