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 |