Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | 002410 | CT |
NPI | 1003247438 |
---|---|
Provider Name | Nora B Selinger |
First Address | Stonington, CT 06378-2614 |
Second Address | Stonington, CT 06378-2614 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2013 |
Last Update Date | 11/12/2013 |