NPI | 1346898608 |
---|---|
Former Name | SAVANNAH LEE CLIRNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AL LPC-04930) |
Additional Taxonomies | 101Y00000X Counselor (Licence: AL LPC-04930) |
101YP2500X Counselor, Professional (Licence: AL LPC-04930) | |
101YP2500X Counselor, Professional | |
101YP2500X Counselor, Professional (Licence: AL C3374A) | |
106H00000X Marriage & Family Therapist (Licence: AL LMFT-L582) | |
Enumeration Date | 2019-08-29 |
Last Update Date | 2023-09-07 |