NPI | 1003322413 |
---|---|
Former Name | KARA LONBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 17-07-03) |
Enumeration Date | 2017-12-20 |
Last Update Date | 2021-08-31 |