NPI | 1396083101 |
---|---|
Former Name | VICTORIA LYNN CALHOUN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO60298403) |
Enumeration Date | 2013-01-29 |
Last Update Date | 2019-03-18 |