Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 104437 | NY |
N | 101YS0200X | School Counselor | NY |
NPI | 1164054177 |
---|---|
Provider Name | Kimberly Barry |
First Address | Brooklyn, NY 11226-2103 |
Second Address | New York, NY 10027-2030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2020 |
Last Update Date | 07/02/2020 |