NPI | 1710479878 |
---|---|
Former Name | LINDA LORRAINE BATEMARCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 010869) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P13336) |
Enumeration Date | 2018-06-05 |
Last Update Date | 2023-09-28 |