| NPI | 1922647155 |
|---|---|
| Former Name | BIBILOLA FEHINTOLA OMOLOJU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 49485) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 88708) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16478) | |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2024-11-26 |