| NPI | 1467550764 |
|---|---|
| Former Name | LINDA SNODGRASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM CADAC3638) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM LPCC0591) |
| 101YP2500X Counselor, Professional (Licence: NM LPCC0591) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |