NPI | 1285998286 |
---|---|
Former Name | JAYSHREE AGRAWAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00461900) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00175200) |
101YP2500X Counselor, Professional | |
Enumeration Date | 2012-06-25 |
Last Update Date | 2020-10-12 |