NPI | 1417489162 |
---|---|
Former Name | EMILY KIRKLAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-19765) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2017-03-31 |
Last Update Date | 2024-02-05 |