NPI | 1356541908 |
---|---|
Former Name | KELLY ANN MILLS-FUCHS-WINSHIP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2009007168) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 014522) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 001129) | |
Enumeration Date | 2007-07-23 |
Last Update Date | 2020-01-06 |