NPI | 1669225819 |
---|---|
Former Name | KARMEN K KERR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-PCLC-LIC-71478) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-LAC-LIC-72808) |
Enumeration Date | 2024-04-08 |
Last Update Date | 2024-10-16 |