Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 1228920181 | NY |
NPI | 1003377839 |
---|---|
Provider Name | Dayna Loren Dwyer |
First Address | Beacon, NY 12508-2906 |
Second Address | Monticello, NY 12701-2118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2019 |
Last Update Date | 26/03/2019 |