| NPI | 1215693189 |
|---|---|
| Former Name | TAYLOR NICOLE DECKARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 12765) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 82929) |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2025-07-22 |