| NPI | 1750678975 |
|---|---|
| Other Name | DEBRA JEAN HARDLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4397) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 565) |
| 104100000X Social Worker (Licence: KS 7521) | |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2018-01-10 |