NPI | 1043312630 |
---|---|
Former Name | KAREN LEE KAHLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR OR C1442) |
Enumeration Date | 2006-09-02 |
Last Update Date | 2007-07-08 |