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 |