NPI | 1033851878 |
---|---|
Former Name | CORINNE RUSNOCK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37AC00470000) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00856500) |
101YP2500X Counselor, Professional | |
Enumeration Date | 2022-04-12 |
Last Update Date | 2024-02-14 |