| NPI | 1356895692 |
|---|---|
| Former Name | RENA OATES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61072814) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: AK 106280) |
| 101YP2500X Counselor, Professional (Licence: CO 106280) | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2023-09-26 |