NPI | 1255062733 |
---|---|
Former Name | CHRISTIE WILKE-ROWAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 86207) |
Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 71216) |
Enumeration Date | 2022-06-23 |
Last Update Date | 2022-06-23 |