NPI | 1336862085 |
---|---|
Former Name | BAYLEE SEPNAFSKI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-24148) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ AZ-21304) |
Enumeration Date | 2022-09-19 |
Last Update Date | 2025-10-06 |