Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor | NY |
NPI | 1114107489 |
---|---|
Provider Name | Miss Lynn T. Wolfson |
First Address | Cortland, NY 13045 |
Second Address | Cortland, NY 13045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2007 |
Last Update Date | 05/11/2007 |