| NPI | 1790928703 |
|---|---|
| Former Name | DIANA BUSH BARBEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK #37) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OK L0021002) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |