Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | NY |
NPI | 1245728187 |
---|---|
Provider Name | Marisol Palau |
First Address | Holmes, NY 12531-5051 |
Second Address | Holmes, NY 12531-5051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2018 |
Last Update Date | 26/04/2018 |