DETRA S GILLIANS

BRONX, NY
NPI1619644754
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-08-26
Last Update Date2021-10-18
Business Address
DETRA S GILLIANS
3174 RIVERDALE AVE
BRONX, NY 10463-3839
Phone number: 347-450-6164
Mailing Address
DETRA S GILLIANS
3174 RIVERDALE AVE
BRONX, NY 10463-3839
Phone number: 347-450-6164