NPI | 1174173223 |
---|---|
Former Name | BRITTANY RAE OKES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA 60986888) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09926140) |
Enumeration Date | 2019-09-19 |
Last Update Date | 2019-09-19 |