NPI | 1770313447 |
---|---|
Other Name | KAITASHA DIONNE CRAFT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 1146) |
Enumeration Date | 2024-08-06 |
Last Update Date | 2024-08-06 |