NPI | 1588967525 |
---|---|
Former Name | LANETTE KAYE BARNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 6015) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2010-12-14 |
Last Update Date | 2023-08-21 |