| NPI | 1295371243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA FEDDER Managing Partner/ Psychotherapist 201-875-5699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2020-07-20 |