| NPI | 1114353661 |
|---|---|
| Former Name | RAQUEL MERRIMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 27-0255792) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |