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 |