Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TS0200X | School Psychologist | 1909277 | NY |
N | 104100000X | Social Worker | 099966 | NY |
Y | 1041C0700X | Clinical Social Worker | 090692 | NY |
N | 1041C0700X | Clinical Social Worker | 44SC05873300 | NJ |
NPI | 1073927166 |
---|---|
Provider Name | Sonia Haynes |
First Address | New York, NY 10017-3115 |
Second Address | Bronx, NY 10460-5802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2014 |
Last Update Date | 06/01/2021 |