| NPI | 1730626425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIE LAVA Clinical Psychologist 973-768-0856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9346) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |