Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 090508 | NY |
NPI | 1164847885 |
---|---|
Provider Name | Mrs. Pearl Spira |
First Address | Monsey, NY 10952-2619 |
Second Address | Monsey, NY 10952-2619 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2014 |
Last Update Date | 04/03/2014 |