NPI | 1447645395 |
---|---|
Former Name | HEATHER GACHKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05546000) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00266000) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2024-12-31 |