Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1336559905 |
---|---|
Provider Name | Erika Colatrella |
First Address | Mt. Holly, NJ 08060 |
Second Address | Berlin, NJ 08009-9201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2014 |
Last Update Date | 05/05/2014 |