| NPI | 1912536657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY KATHRYN L. FITZSIMMONS Lcsw / Private Practice Owner 856-296-1482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2020-04-05 |