NPI | 1104019892 |
---|---|
Former Name | KATHLEEN ELIZABETH CONSIDINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37LC00311500) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2007-08-25 |
Last Update Date | 2020-01-16 |