| NPI | 1972179000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYCIE DEANE Psychologist/Owner 908-507-9457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist Clinical Child & Adolescent |
| Enumeration Date | 2021-05-30 |
| Last Update Date | 2021-05-30 |