NPI | 1811173818 |
---|---|
Former Name | CATHERINE J GRAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT 17378) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 1224) | |
Enumeration Date | 2008-01-21 |
Last Update Date | 2024-03-08 |