| NPI | 1053520163 |
|---|---|
| Former Name | ALYSON SHEA GRAHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 5072) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 931) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2015-08-10 |