NPI | 1215256771 |
---|---|
Former Name | NATASHA JONINA WOLFE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OK 5167) |
Additional Taxonomies | 101Y00000X Counselor |
225400000X Rehabilitation Practitioner | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2010-05-24 |
Last Update Date | 2024-03-18 |