NPI | 1134637655 |
---|---|
Other Name | JAN K VANDERHOOF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 21-07-20089) |
Enumeration Date | 2018-01-18 |
Last Update Date | 2024-02-12 |