| NPI | 1659797389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN MARLATT VELA Psychotherapist 908-902-1356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05484100) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |