| NPI | 1790219392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE WATT CEO 732-857-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41ys00563600) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2018-03-07 |