| NPI | 1740749803 |
|---|---|
| Former Name | NORMA K RUNNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH30625) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SD LPC200555) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2023-03-09 |