NPI | 1881093375 |
---|---|
Former Name | TRIENA LINK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 12-06-78) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OR 099005166LPN) |
Enumeration Date | 2014-08-20 |
Last Update Date | 2023-12-15 |