NPI | 1639686249 |
---|---|
Former Name | KENDALL GUNN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 258071) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 247104) | |
Enumeration Date | 2018-01-04 |
Last Update Date | 2023-06-14 |