NPI | 1508015629 |
---|---|
Former Name | RHONDA FAYE WEBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 4681) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 913) |
Enumeration Date | 2008-09-12 |
Last Update Date | 2018-11-07 |