NPI | 1720367162 |
---|---|
Professional Name | KANSAS CAFFERTY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 51709) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA C0505091431) |
Enumeration Date | 2011-08-16 |
Last Update Date | 2015-09-18 |