| NPI | 1467985523 |
|---|---|
| Former Name | ANNA IZABELA TEMPLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: FL MH11118) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL MH11118) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH11118) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2021-03-25 |