Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | NJ |
NPI | 1063985067 |
---|---|
Provider Name | Mrs. Brooklynn Gresham-Jones |
First Address | Piscataway, NJ 08854-8021 |
Second Address | Piscataway, NJ 08854-3907 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2019 |
Last Update Date | 02/01/2019 |