| NPI | 1902396955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER RYAN Therapist/Owner 201-417-0607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 2235) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2020-04-13 |