NPI | 1811708100 |
---|---|
Former Name | BUKOLA OLUWASHOLA AWOSANYA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MN 12493) |
Additional Taxonomies | 1041C0700X Social Worker Clinical |
363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TX 1077716) | |
101YM0800X Counselor Mental Health | |
Enumeration Date | 2025-01-15 |
Last Update Date | 2025-03-05 |