NPI | 1033570692 |
---|---|
Other Name | SHELLEE STRADER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 08-12-68) |
Enumeration Date | 2016-03-10 |
Last Update Date | 2024-02-14 |