NPI | 1760081442 |
---|---|
Former Name | DENISE KALFAZADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00864800) |
Additional Taxonomies | 101Y00000X Counselor (Licence: TN 03586) |
Enumeration Date | 2020-10-22 |
Last Update Date | 2022-07-20 |