NPI | 1194046110 |
---|---|
Former Name | LUCI A LUDLOW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 11-R-12) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 24-QMHP-R-3281) |
Enumeration Date | 2010-06-14 |
Last Update Date | 2024-12-27 |