| NPI | 1932961109 | 
|---|---|
| Former Name | BECKY MARIE SOKUP | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: ME CC7390) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LH61508699) | 
| Enumeration Date | 2024-01-24 | 
| Last Update Date | 2025-05-12 |