Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | ||
Y | 103TC1900X | Counseling Psychologist |
NPI | 1104213495 |
---|---|
Provider Name | Lynida Darbes |
First Address | Saugerties, NY 12477-3639 |
Second Address | Saugerties, NY 12477-3639 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2015 |
Last Update Date | 24/04/2015 |