NPI | 1912322496 |
---|---|
Former Name | JAIMIE BEMISDARFER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C10042) |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2014-02-20 |
Last Update Date | 2025-06-02 |