NPI | 1902459993 |
---|---|
Former Name | SYDNEY COLEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 095139) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2019-07-19 |
Last Update Date | 2023-05-18 |