NPI | 1104050897 |
---|---|
Other Name | J RAINES-KOHLER |
Entity Type | Individual |
Gender | N/A |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA 26289) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2009-05-08 |
Last Update Date | 2024-07-09 |