| NPI | 1669766291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA NAUMOV Therapist 732-896-0817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 0400420833) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2013-05-13 |