NPI | 1164069142 |
---|---|
Former Name | EMILY SCOTT KREWSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 14984) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 25296) |
Enumeration Date | 2019-12-09 |
Last Update Date | 2022-04-05 |