| NPI | 1750015160 |
|---|---|
| Other Name | TATYANA SHIELDS, LCSW |
| Entity Type | Organization |
| Authorized Contact | TATYANA O SHIELDS CEO 732-305-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2025-03-21 |