Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 37AC00223000 | NJ |
N | 101YS0200X | School Counselor | 806259 | NJ |
NPI | 1215328216 |
---|---|
Provider Name | Ms. Kataura Toi Washington-Simon |
First Address | Monroe Township, NJ 08831-5350 |
Second Address | Monroe Township, NJ 08831-5350 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2015 |
Last Update Date | 11/02/2015 |