NPI | 1699140632 |
---|---|
Former Name | KARALEEN LUKASH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1332) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2015-12-02 |
Last Update Date | 2022-10-21 |