| NPI | 1003285073 | 
|---|---|
| Former Name | KARYN ELIZABETH BATE-DEFOE, AGUILERA | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C7095) | 
| Enumeration Date | 2015-09-21 | 
| Last Update Date | 2022-11-17 |