NPI | 1609865344 |
---|---|
Former Name | KATHLEEN E KESSLER-GILLESPIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LPC 1566) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ LISAC 10801) |
Enumeration Date | 2005-10-16 |
Last Update Date | 2007-07-08 |