| NPI | 1790199537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONA BIRK President 908-307-3768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: NJ 26NC04510500) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2017-07-11 |