| NPI | 1598753121 |
|---|---|
| Former Name | DORNA SUE FRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-11733) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-11733) |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2019-10-29 |