NPI | 1972139475 |
---|---|
Former Name | LILA RENEE METZKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: OK 10533) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
101YM0800X Counselor, Mental Health (Licence: OK 10533) | |
Enumeration Date | 2020-03-16 |
Last Update Date | 2025-09-25 |