Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 72029113 | NY |
NPI | 1053614362 |
---|---|
Provider Name | Olivia Ann Sokoloski |
First Address | Binghamton, NY 13905-1699 |
Second Address | Binghamton, NY 13905-1606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2010 |
Last Update Date | 08/12/2010 |