| NPI | 1740995760 |
|---|---|
| Other Name | KATHARINE ANN CRESWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-23-2287) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-04-25 |