NPI | 1417195124 |
---|---|
Former Name | DEBRA ANN OLIVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2303) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
106H00000X Marriage & Family Therapist (Licence: OR T0738) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 01-07-11) | |
Enumeration Date | 2009-02-03 |
Last Update Date | 2012-11-19 |