NPI | 1558640763 |
---|---|
Former Name | KATHRYN SUSANNE BENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP00002510) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA LW00009654) |
Enumeration Date | 2011-08-05 |
Last Update Date | 2011-08-05 |