NPI | 1487838777 |
---|---|
Former Name | DE'LISA MICHAELLE' OSLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC #7718) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC #232196) |
101YM0800X Counselor, Mental Health (Licence: NC 232196) | |
251S00000X | |
Enumeration Date | 2007-12-21 |
Last Update Date | 2012-09-21 |