NPI | 1770022063 |
---|---|
Other Name | KIWANIA MORRIS EDWARDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AL 6484) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AL 6484) |
Enumeration Date | 2017-02-20 |
Last Update Date | 2019-12-10 |