NPI | 1891117917 |
---|---|
Former Name | DEBORAH DAWSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4511) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 185) |
Enumeration Date | 2014-01-08 |
Last Update Date | 2019-09-18 |