NPI | 1922647155 |
---|---|
Former Name | BIBILOLA FEHINTOLA OMOLOJU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 88708) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 16478) |
183500000X Pharmacist (Licence: TX 49485) | |
Enumeration Date | 2020-01-06 |
Last Update Date | 2023-08-28 |