Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225C00000X | Rehabilitation Counselor |
NPI | 1114487253 |
---|---|
Provider Name | Sharie Northington |
First Address | Spencer, OK 73084-2576 |
Second Address | Oklahoma City, OK 73118-2670 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2019 |
Last Update Date | 24/03/2019 |