Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 37PC00220200 | NJ |
NPI | 1003024290 |
---|---|
Provider Name | Mrs. Joann Efthemia Charwin |
First Address | Cranbury, NJ 08512-3206 |
Second Address | Cranbury, NJ 08512-3206 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2007 |
Last Update Date | 08/07/2007 |