NPI | 1255608154 |
---|---|
Former Name | APRIL TABITHA PITTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5860) |
Additional Taxonomies | 101Y00000X Counselor |
106H00000X Marriage & Family Therapist | |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2011-11-19 |
Last Update Date | 2020-12-31 |