Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 002277 | NY |
N | 225C00000X | Rehabilitation Counselor | 14848 | NY |
NPI | 1255403614 |
---|---|
Provider Name | Donna Gill |
First Address | Orchard Park, NY 14127-2600 |
Second Address | Buffalo, NY 14224-2635 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 08/07/2007 |