NPI | 1326358607 |
---|---|
Former Name | KIM A SCHUMACHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 2421) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 1370) |
Enumeration Date | 2010-10-20 |
Last Update Date | 2012-10-17 |