NPI | 1912367004 |
---|---|
Former Name | TINA RIGDON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR C7453) |
101YM0800X Counselor, Mental Health (Licence: IN 39003428A) | |
101YM0800X Counselor, Mental Health (Licence: OR C7453) | |
Enumeration Date | 2016-03-02 |
Last Update Date | 2023-09-15 |