| NPI | 1982021150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ELIZABETH LEACH Principal: Member & Managing Member 609-610-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05427500) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37Fl00169200) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |