Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health | 47-1874580 | NJ |
NPI | 1982109104 |
---|---|
Provider Name | Ms. Camika L Holland |
First Address | Atlantic City, NJ 08401-1824 |
Second Address | Atlantic City, NJ 08401-1824 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2018 |
Last Update Date | 28/03/2018 |