Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 2205876 | AZ |
NPI | 1063741742 |
---|---|
Provider Name | Margot Kirkpatrick O'donnal |
First Address | Tempe, AZ 85282-3853 |
Second Address | Tempe, AZ 85283-3147 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2009 |
Last Update Date | 09/12/2009 |