| NPI | 1457127391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA SKIRKA Owner 732-404-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 1041S0200X Social Worker School |
| 101YM0800X Counselor Mental Health | |
| 104100000X Social Worker | |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2023-12-01 |