| NPI | 1699827741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOBIA DEL GRUDICE Sole Proprietor 732-257-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 548) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44sc00034600) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |