NPI | 1215616537 |
---|---|
Former Name | BRITIAN KENNINGTON-CHESANG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KS 01845) |
Enumeration Date | 2023-07-13 |
Last Update Date | 2023-07-13 |