NPI | 1083361299 |
---|---|
Former Name | JADE CATHERINE ORLIK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37AC00461800) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00340300) |
Enumeration Date | 2022-03-08 |
Last Update Date | 2022-03-08 |