| NPI | 1851503486 |
|---|---|
| Former Name | TEOLA ANN DURANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 9178-P) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2024-08-12 |