NPI | 1770093973 |
---|---|
Former Name | KIMBERLY JOY ALMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-24176) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011548) |
Enumeration Date | 2017-10-03 |
Last Update Date | 2020-03-10 |