Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003330937 |
---|---|
Provider Name | Bonnie Parkot |
First Address | Getzville, NY 14068-1205 |
Second Address | Buffalo, NY 14215-2814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2017 |
Last Update Date | 16/03/2020 |