NPI | 1316931918 |
---|---|
Former Name | VALERIE M CARPENTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LPC-1970) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AZ LPC1970) |
Enumeration Date | 2005-09-09 |
Last Update Date | 2016-11-29 |