| NPI | 1124267869 |
|---|---|
| Former Name | KARA ANNE BAXTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD-201) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB-6716) |
| 101YP2500X Counselor, Professional (Licence: CO LPC-4978) | |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2019-09-10 |