NPI | 1730333576 |
---|---|
Former Name | PATRICIA KATHRYN O'CONNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0078391) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0078391) |
Enumeration Date | 2008-11-06 |
Last Update Date | 2008-11-06 |