| NPI | 1508171877 |
|---|---|
| Former Name | L'OREAL PATRICE GOODEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KS 2762) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KS 1162) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 764) | |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2017-03-23 |