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 |