Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 180006277 | IL |
Y | 101YM0800X | Mental Health Counselor | ||
N | 101YP1600X | Pastoral Counselor | IL |
NPI | 1194903831 |
---|---|
Provider Name | Mrs. Mary Elizabeth Hornsby |
First Address | Taylorsville, UT 84129 |
Second Address | Salt Lake City, UT 84109-5403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/02/2008 |
Last Update Date | 02/06/2017 |