Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YS0200X | School Counselor | 38926115 | AZ |
NPI | 1255588075 |
---|---|
Provider Name | Ruth Schmidt |
First Address | Mesa, AZ 85201-6411 |
Second Address | Mesa, AZ 85201-6411 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2008 |
Last Update Date | 22/08/2008 |