NPI | 1982901120 |
---|---|
Former Name | SONJA ANN SCHOBERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 06-11-52) |
Enumeration Date | 2011-02-24 |
Last Update Date | 2016-08-31 |