| NPI | 1548693633 |
|---|---|
| Former Name | CHRISTAL ANN OLIVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0014414) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OR 13-R-32) |
| 101YP2500X Counselor Professional (Licence: OR C3501) | |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2020-07-24 |