NPI | 1962019661 |
---|---|
Former Name | ERIKA LINN VORIS STANDLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 00002828) |
Enumeration Date | 2020-09-26 |
Last Update Date | 2020-09-26 |