| NPI | 1790574192 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | CLARITA V HIPOL LIGOT Clinical Psychologist 973-994-1347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-06-27 |