NPI | 1598112872 |
---|---|
Former Name | CINDY WILIKINSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OK 10237) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 16-11-24) |
Enumeration Date | 2016-05-17 |
Last Update Date | 2022-06-08 |