NPI | 1205082625 |
---|---|
Former Name | LEE NATALIE ROGERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-0681) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AZ LISAC-0524) |
Enumeration Date | 2008-08-18 |
Last Update Date | 2008-08-18 |