NPI | 1013585512 |
---|---|
Former Name | KAY E FREYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 001294) |
Additional Taxonomies | 101Y00000X Counselor (Licence: MO 001294) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MO 871) | |
101YM0800X Counselor, Mental Health (Licence: MO 001294) | |
163W00000X Registered Nurse (Licence: MO 097768) | |
Enumeration Date | 2021-06-12 |
Last Update Date | 2021-06-12 |