NPI | 1659769883 |
---|---|
Other Name | KATHRYN MCCORMICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002595) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2014-12-22 |
Last Update Date | 2024-10-09 |