Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 001161-1 | NY |
NPI | 1003265414 |
---|---|
Provider Name | Catherine A Marsh |
First Address | Ridgewood, NY 11385-5757 |
Second Address | Ridgewood, NY 11385-5757 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2016 |
Last Update Date | 21/05/2019 |