NPI | 1598936759 |
---|---|
Other Name | KAREN BENTLEY MANNIX |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 83) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OK 2031) |
Enumeration Date | 2008-03-17 |
Last Update Date | 2008-03-17 |