NPI | 1114115755 |
---|---|
Former Name | KATHERINE LYNN FISCALINI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2007-10-09 |
Last Update Date | 2015-04-01 |