Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 2939308 | AZ |
NPI | 1033321575 |
---|---|
Provider Name | Mrs. Donna Lyons |
First Address | Flagstaff, AZ 86004 |
Second Address | Flagstaff, AZ 86004 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2007 |
Last Update Date | 08/07/2007 |