NPI | 1558799411 |
---|---|
Former Name | LEA AVOLIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L6540) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 110604) |
1041C0700X Social Worker, Clinical (Licence: OR l6540) | |
Enumeration Date | 2013-10-30 |
Last Update Date | 2021-12-23 |