Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1093266397 |
---|---|
Provider Name | Mrs. Brianna K Leger |
First Address | Syracuse, NY 13210-2319 |
Second Address | Syracuse, NY 13210-2319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2016 |
Last Update Date | 21/10/2016 |