| NPI | 1619414885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAWN M MCNEIL-HABER Owner 908-242-3634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00456800) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2024-05-07 |