Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 2196283 | NY |
NPI | 1194006437 |
---|---|
Provider Name | Juliet Adom |
First Address | Jamaica, NY 11432-3902 |
Second Address | Jamaica, NY 11432-3902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2011 |
Last Update Date | 31/08/2011 |