| NPI | 1154871671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLA SIMON Owner 732-213-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MI 6801096395) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 1-14-15924) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |