| NPI | 1417293770 |
|---|---|
| Former Name | ROCKOLYN LADAWN DANIELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OK 21582-P) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2025-10-31 |