Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor |
NPI | 1003405549 |
---|---|
Provider Name | Kyla Murphy |
First Address | Nyack, NY 10960-1522 |
Second Address | Nyack, NY 10960-1598 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2021 |
Last Update Date | 11/01/2021 |