| NPI | 1598549693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXA SQUIRE Owner 201-739-2216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |