NPI | 1407000391 |
---|---|
Former Name | KATHLEEN O'DONNELL SEMERAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: PA PC009213) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0121971) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 9410) | |
101YM0800X Counselor, Mental Health (Licence: NM 0143761) | |
Enumeration Date | 2008-11-05 |
Last Update Date | 2022-09-08 |