NPI | 1447572284 |
---|---|
Former Name | DORINDA MARY JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00401900) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR07181600) |
Enumeration Date | 2010-02-22 |
Last Update Date | 2010-02-22 |