NPI | 1659719029 |
---|---|
Former Name | DINA M KORMONDY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00599900) |
Additional Taxonomies | 101Y00000X Counselor (Licence: NJ 37AC00147000) |
Enumeration Date | 2013-06-07 |
Last Update Date | 2021-12-20 |