| 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 |