| NPI | 1730176470 |
|---|---|
| Former Name | DAWN LAVELLE CARRUTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: AZ LPC1907) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: AZ LPC1907) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2008-02-20 |