| NPI | 1487108460 |
|---|---|
| Other Name | COLE PROPHET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OR C6307) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2023-11-02 |