| NPI | 1497382535 |
|---|---|
| Former Name | CHARLA PHYLLIS OGAZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO 0016142) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 0016142) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-01-25 |