| NPI | 1093852261 |
|---|---|
| Other Name | KATHLEEN ANN PHILLIPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 040736) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OR 040736) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2012-03-19 |