| NPI | 1215569116 |
|---|---|
| Former Name | CHRISTALE SHALONDA HARRIS-AGUBATA-OKPARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 372600000X) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: OR 372600000x) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-11-18 |