Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1073757175 |
---|---|
Provider Name | Ms. Audrone Liucija Klimas |
First Address | North Babylon, NY 11703-3903 |
Second Address | Commack, NY 11725-3510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2009 |
Last Update Date | 21/04/2009 |