Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 6304299 | NY |
NPI | 1003141219 |
---|---|
Provider Name | Ms. Letitia Louise Maun |
First Address | New York, NY 10019-5322 |
Second Address | New York, NY 10019-5322 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2009 |
Last Update Date | 05/10/2009 |