NPI | 1851530596 |
---|---|
Former Name | LINDSAY PORTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC-11176) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC-7053) |
Enumeration Date | 2009-02-19 |
Last Update Date | 2017-04-03 |