| NPI | 1013613892 |
|---|---|
| Former Name | SANDRA SUSAN OKRONGLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 149019468) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IL 149019468) |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2025-01-16 |