| NPI | 1982816328 |
|---|---|
| Former Name | PATRICIA ANN TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OK 101YA0400X) |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2020-02-07 |