NPI | 1255775573 |
---|---|
Former Name | CATHERINE ANN STEWART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MI 6401013208) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6401013208) |
Enumeration Date | 2013-04-18 |
Last Update Date | 2017-03-17 |