| NPI | 1194884460 |
|---|---|
| Former Name | TONI R WAYMIRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2297) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 07-06-65) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00005704) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2016-12-07 |