| NPI | 1801093745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH RISKU WAGNER President Psychologist 201-445-3299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00358200) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |