Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | MHC00570 | RI |
N | 101YS0200X | School Counselor | 419331101 | NY |
N | 101YS0200X | School Counselor | 64997 | RI |
NPI | 1124328158 |
---|---|
Provider Name | Gabrielle Joy Dworkin |
First Address | Taunton, MA 02780-3960 |
Second Address | Taunton, MA 02780-3960 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2010 |
Last Update Date | 06/11/2013 |