NPI | 1063449395 |
---|---|
Former Name | KERSTEN RENE' SCHWARZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NE 203) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 614) |
1041C0700X Social Worker, Clinical (Licence: NE 1045) | |
Enumeration Date | 2006-06-26 |
Last Update Date | 2015-11-20 |