NPI | 1164484465 |
---|---|
Other Name | KATHY FORREST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 676) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 7915) |
Enumeration Date | 2006-04-04 |
Last Update Date | 2018-10-03 |