| NPI | 1992320303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACQUEL RIVERO Owner 732-865-5288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |