Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | LPC-17628 | AZ |
NPI | 1003382995 |
---|---|
Provider Name | Maria Rose Sarno |
First Address | Tempe, AZ 85282-5699 |
Second Address | Tempe, AZ 85282-2692 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2018 |
Last Update Date | 17/10/2018 |