| NPI | 1457478877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA E WATERS Sole Proprietor 908-203-9054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04573900) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |