NPI | 1679939656 |
---|---|
Former Name | TEMITOPE SHAKIRAT COATES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 44SC05667800) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00242600) |
Enumeration Date | 2016-01-06 |
Last Update Date | 2024-06-04 |