NPI | 1497191050 |
---|---|
Former Name | CAITLIN LANE GARNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21031) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 11205) |
101YP2500X Counselor, Professional (Licence: NC A11205) | |
101YP2500X Counselor, Professional (Licence: NC 11205) | |
Enumeration Date | 2013-05-21 |
Last Update Date | 2022-10-14 |