NPI | 1760138226 |
---|---|
Former Name | KALKIDAN QUESTAD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA SC61460850) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CO61265316) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 61265316) | |
Enumeration Date | 2022-02-23 |
Last Update Date | 2023-10-10 |