Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 1246952 | NY |
NPI | 1225357270 |
---|---|
Provider Name | Ms. Erika J Tobrocke |
First Address | Plattsburgh, NY 12901-1290 |
Second Address | Plattsburgh, NY 12901-1290 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2010 |
Last Update Date | 28/05/2010 |