Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YS0200X | School Counselor | NY | |
Y | 225C00000X | Rehabilitation Counselor | NY |
NPI | 1295967040 |
---|---|
Provider Name | Mrs. Mariann R Gattelaro |
First Address | Plano, TX 75093-7850 |
Second Address | Plano, TX 75093-7850 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2009 |
Last Update Date | 12/08/2009 |