NPI | 1396864856 |
---|---|
Former Name | KERRY KILE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 167G00000X Licensed Psychiatric Technician (Licence: CA pt30252) |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA SPBGQWKMOZRYCHFE) |
225400000X Rehabilitation Practitioner (Licence: CA na) | |
Enumeration Date | 2007-03-28 |
Last Update Date | 2023-09-14 |