NPI | 1538472097 |
---|---|
Former Name | RAINA LIN COLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OR L5457) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR L5457) |
Enumeration Date | 2010-07-26 |
Last Update Date | 2023-10-24 |