NPI | 1821596248 |
---|---|
Former Name | KRISTINE YVONNE WARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2018-01-31 |
Last Update Date | 2023-06-28 |