| NPI | 1689912248 |
|---|---|
| Former Name | KATHLEEN ANNE WILLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 94024326) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2020-09-22 |