NPI | 1396060935 |
---|---|
Former Name | KERRY MARIE WINTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Aii052450218) |
Enumeration Date | 2010-04-06 |
Last Update Date | 2023-07-17 |