| NPI | 1659929883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MICHELLE FAHERTY Owner 732-747-9221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |