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 |