Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 009036 | NY |
N | 101YS0200X | School Counselor |
NPI | 1124646039 |
---|---|
Provider Name | Ann Marie Winslow |
First Address | White Plains, NY 10603-2500 |
Second Address | White Plains, NY 10603-2500 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2020 |
Last Update Date | 07/07/2020 |