Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist |
NPI | 1013436054 |
---|---|
Provider Name | Ms. Katrina Anastasia Probherbs |
First Address | Richmond Hill, NY 11418-1924 |
Second Address | Richmond Hill, NY 11418-1924 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2017 |
Last Update Date | 11/09/2017 |