| NPI | 1669730198 |
|---|---|
| Former Name | KERRIE DANIELLE NACE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.017900) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 30977) | |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2020-02-20 |