| NPI | 1366518292 |
|---|---|
| Former Name | CYNTHIA SHERBON ROE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK LADC#252) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OK LMFT#731) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2007-07-08 |