NPI | 1750601951 |
---|---|
Former Name | ARWEN DESPAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: OR T1060) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T1060) |
Enumeration Date | 2010-06-10 |
Last Update Date | 2018-03-17 |