NPI | 1730352022 |
---|---|
Former Name | KARIN SHIRLEY LEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 5868) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6527) |
Enumeration Date | 2008-04-08 |
Last Update Date | 2016-01-24 |