NPI | 1851903058 |
---|---|
Former Name | AYRALYNNE PAZDUR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20080) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL IMH18634) |
Enumeration Date | 2020-08-19 |
Last Update Date | 2021-12-21 |