| NPI | 1528425527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN MENDOZA Psychologist 732-779-1725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100509700) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |