NPI | 1881675023 |
---|---|
Former Name | LINDA D KESTERKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149008788) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 23295) |
Enumeration Date | 2005-11-07 |
Last Update Date | 2022-01-05 |