Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | 415370 |
NPI | 1356862601 |
---|---|
Provider Name | Donna M Noorali |
First Address | Pensacola, FL 32591-2931 |
Second Address | Pensacola, FL 32503-4332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2017 |
Last Update Date | 27/06/2017 |