NPI | 1992007835 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE WALDRON Psychologist/Owner 973-429-1317 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00410200) |
Enumeration Date | 2010-11-29 |
Last Update Date | 2010-11-29 |