Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker | ||
Y | 1041C0700X | Clinical Social Worker | P012851 | NC |
N | 2251H1300X | Human Factors | ||
N | 225XH1300X | Human Factors | ||
N | 225XM0800X | Mental Health |
NPI | 1861906026 |
---|---|
Provider Name | Najuma Austin |
First Address | Kinston, NC 28501-1580 |
Second Address | Oklahoma City, OK 73107-6437 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2017 |
Last Update Date | 13/01/2022 |