NPI | 1578000188 |
---|---|
Former Name | HANNAH BANES KRUMBHAAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011766) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-22920) |
1041C0700X Social Worker, Clinical (Licence: ID LCSW-39378) | |
Enumeration Date | 2017-01-22 |
Last Update Date | 2022-03-04 |