NPI | 1205966652 |
---|---|
Other Name | TRINA JUNE KAISER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: NM 0152391) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NM 0128881) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2015-02-19 |