NPI | 1316622103 |
---|---|
Former Name | ALLEGRA KNIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 11551) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2023-06-19 |
Last Update Date | 2025-06-18 |