| NPI | 1902464043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN JUSTINE AGNELLO Owner/Director 973-476-6371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2023-05-27 |