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 |