NPI | 1609383306 |
---|---|
Former Name | KARLA CADE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WI 7531-125) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 17843-130) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 16406-131) | |
101YP2500X Counselor, Professional (Licence: WI 7531-125) | |
Enumeration Date | 2018-01-03 |
Last Update Date | 2023-03-15 |