NPI | 1124696257 |
---|---|
Former Name | OLAKUNBI FASHOLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.011366) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 35989) |
Enumeration Date | 2021-06-15 |
Last Update Date | 2021-06-15 |