Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 37PC00511200 | NJ |
N | 101YS0200X | School Counselor | 810453 | NJ |
NPI | 1235577453 |
---|---|
Provider Name | Elizabeth Ann Stanley |
First Address | Denville, NJ 07834-1735 |
Second Address | Denville, NJ 07834-1735 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2013 |
Last Update Date | 22/01/2015 |