NPI | 1376763375 |
---|---|
Former Name | SUE C. PIRC |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-11614) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LISAC-10313) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2013-12-18 |