NPI | 1073552337 |
---|---|
Former Name | KAREN JACOBS-AHJUDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY ky-0179) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 0751) |
Enumeration Date | 2006-06-05 |
Last Update Date | 2011-09-28 |