NPI | 1437310679 |
---|---|
Other Name | VICTORIA LEE YOUNGBIRD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 02-03-63) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 020363) | |
Enumeration Date | 2008-06-20 |
Last Update Date | 2018-10-08 |