Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | LPC-10950 | AZ |
NPI | 1003147638 |
---|---|
Provider Name | Ms. Katharine Mary Dean |
First Address | Tucson, AZ 85704-3739 |
Second Address | Tucson, AZ 85750-1702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/01/2010 |
Last Update Date | 21/01/2010 |