NPI | 1407092422 |
---|---|
Former Name | MARGARET UKPONU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401010444) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 2-00795) |
Enumeration Date | 2008-12-22 |
Last Update Date | 2008-12-22 |