Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
N | 101YS0200X | School Counselor | ||
Y | 1041C0700X | Clinical Social Worker | ||
N | 1041S0200X | School Social Worker |
NPI | 1164037131 |
---|---|
Provider Name | Andrea Stopa |
First Address | Astoria, NY 11102-2460 |
Second Address | Bronx, NY 10467-6013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2020 |
Last Update Date | 15/09/2020 |