NPI | 1174687537 |
---|---|
Former Name | ANDREA L WINTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L5977) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 08-R-14) |
Enumeration Date | 2006-12-20 |
Last Update Date | 2016-01-26 |