NPI | 1548394745 |
---|---|
Former Name | KARA CHAMBLESS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2007-03-16 |
Last Update Date | 2024-02-14 |