NPI | 1265898035 |
---|---|
Professional Name | KASCEY IFILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: GA 508502) |
101YP2500X Counselor Professional (Licence: GA LPC01092) | |
Enumeration Date | 2016-01-11 |
Last Update Date | 2021-06-01 |