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-ACLC-LIC-70134) |
Enumeration Date | 2024-04-08 |
Last Update Date | 2024-07-04 |