NPI | 1912461427 |
---|---|
Former Name | EMILY ROSE SILCO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 002451) |
Enumeration Date | 2019-01-29 |
Last Update Date | 2024-06-17 |