Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 37PC00585600 | NJ |
NPI | 1003349374 |
---|---|
Provider Name | Katherine A Paseka |
First Address | Summit, NJ 07901-3533 |
Second Address | Summit, NJ 07901-3577 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2017 |
Last Update Date | 04/04/2017 |