NPI | 1073052676 |
---|---|
Former Name | KRISTIA R KEREKES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2017-02-15 |
Last Update Date | 2021-05-11 |