NPI | 1851515340 |
---|---|
Former Name | KATHERINE SUE WRIGHT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 3796) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 142) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2016-08-17 |